Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $700.70 / $700.70	Facility		$550.00	$700.70	$700.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.44 / $849.65 / $1,196.61	Professional		$347.44	$849.65	$1,196.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.10 / $434.10 / $434.10	Professional		$434.10	$434.10	$434.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $452.61 / $1,318.52 / $2,894.15	Facility		$452.61	$1,318.52	$2,894.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.27 / $497.29 / $1,952.60	Professional		$380.27	$497.29	$1,952.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.74 / $1,086.73 / $2,019.50	Facility		$701.74	$1,086.73	$2,019.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $434.10 / $1,274.77 / $3,309.44	Professional		$434.10	$1,274.77	$3,309.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.80 / $501.80 / $501.80	Professional		$501.80	$501.80	$501.80
United Facility/Professional Facility Modifier Low / Median / High Price $310.68 / $310.68 / $1,520.80	Facility		$310.68	$310.68	$1,520.80
United Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $465.88 / $756.23	Professional		$378.22	$465.88	$756.23